Active NPI
Jennifer L Anthony, PT
- Physical Therapist
- Bolingbrook, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.024920
- Practice address
- 790 Remington Blvd
Bolingbrook, IL 60440-4909 - Phone
- (412) 394-2800
- NPI assigned
- Aug 4, 2009
- Last updated
- Apr 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT009566 | OH | |
| Physical Therapist | 225100000X | 070.024920 | IL | Primary |
Addresses
Primary practice location
790 Remington Blvd
Bolingbrook, IL 60440-4909
Mailing address
208 Doud Dr
Normal, IL 61761-3212
Phone (614) 266-6948
Other practice location 1
1800 Riverside Drive
Columbus, OH 43212
Phone (614) 486-9511 ext. 236
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, AR
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 85.61 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 70.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.024920 | IL | MD | Physical Therapist |
| PT009566 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletic and Therapeutic Institute of Bourbonnais, LLC | Physical Therapist | Current | Accepting new patients |
| Select Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| Athletic and Therapeutic Institute of Bourbonnais, LLC | Physical Therapist | Current | Accepting new patients |
| Brookfield Physical Rehabilitation, LLC | Current | Accepting new patients |
Locations
383 W Army Trail Rd
Ste 100
Bloomingdale, IL 60108
Phone (630) 924-0367
790 Remington Blvd
Bolingbrook, IL 60440
1275 N Convent St
Ste 3
Bourbonnais, IL 60914
Phone (815) 936-1855
1806 N Market St
Champaign, IL 61822
Phone (217) 356-4920
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
2081 Ridge Rd
Ste 101
Minooka, IL 60447
Phone (815) 467-1612
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba ATI Physical Therapy
- Physical Therapist
- Bourbonnais, IL
- NPI 1861503542
-
- Rehabilitation Clinic/Center
- Glenview, IL
- NPI 1346368248
AR, Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Columbia, IL
- NPI 1124766696
Physical Therapist
-
- Physical Therapy Clinic/Center
- Hot Springs, AR
- NPI 1891339719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650499200000",
"number": "1205067592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 DOUD DR",
"city": "NORMAL",
"state": "IL",
"postal_code": "617613212",
"telephone_number": "614-266-6948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "412-394-2800"
}
],
"practiceLocations": [
{
"address_1": "1800 Riverside Drive",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "43212",
"country_code": "US",
"telephone_number": "614-486-9511 x236",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANTHONY",
"first_name": "JENNIFER",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-04",
"last_updated": "2022-04-21",
"certification_date": "2022-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT009566",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.024920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bolingbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.